Active NPI
Tu V. Huynh DDS Dental Corporation
- General Practice Dentistry
- Anaheim, CA
National Provider Identifier
1598077208
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- D48615
- Legal business name
- TU V. HUYNH DDS DENTAL CORPORATION
- Practice address
- 303 N East St
Anaheim, CA 92805-3341 - Phone
- (714) 635-0800
- Fax
- (714) 635-0811
- NPI assigned
- Jul 10, 2010
- Organization subpart
- Yes
- Parent organization
- TU V. HUYNH DDS DENTAL CORPORATION
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tu V Huynh, DDS
- Title
- Ceo
- Phone
- (714) 535-0998
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | D48615 | CA | Primary |
Addresses
Primary practice location
303 N East St
Anaheim, CA 92805-3341
Mailing address
111 S Brookhurst St
Anaheim, CA 92804-2407
Phone (714) 535-0998
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G9351001 | Medicaid | CA | |
| 1073682654 | Other | CA | NPPES |
| 1639305451 | Other | CA | NPPES |
Other names 1
- Nova Dental
National Provider Directory
National Provider Directory- Tax ID family
- Tu V Huynh DDS Dental Corporation
- Part of
- Tu V Huynh DDS Dental Corporation
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Dentist
- Anaheim, CA
- NPI 1073682654
-
- General Practice Dentistry
- Anaheim, CA
- NPI 1548496367
-
- General Practice Dentistry
- Pico Rivera, CA
- NPI 1639305451
Locations
111 S Brookhurst St
Anaheim, CA 92804
Phone (714) 535-0998
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Dentist
- Anaheim, CA
- NPI 1073682654
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1278720000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1278720000000",
"number": "1598077208",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 S BROOKHURST ST",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928042407",
"telephone_number": "714-535-0998",
"fax_number": "714-535-1065"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "303 N EAST ST",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928053341",
"telephone_number": "714-635-0800",
"fax_number": "714-635-0811"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TU V. HUYNH DDS DENTAL CORPORATION",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "TU V. HUYNH DDS DENTAL CORPORATION",
"enumeration_date": "2010-07-10",
"last_updated": "2010-07-10",
"status": "A",
"authorized_official_last_name": "HUYNH",
"authorized_official_first_name": "TU",
"authorized_official_middle_name": "V",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "714-535-0998",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "D48615",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "G9351001",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPPES",
"identifier": "1073682654",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPPES",
"identifier": "1639305451",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Nova Dental",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Anaheim, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.